Individual
MISTY COELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5100 W BROAD ST, COLUMBUS, OH 43228-1607
(614) 544-1000
Mailing address
5100 W BROAD ST, COLUMBUS, OH 43228-1607
(614) 544-1000
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
35.142936
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2018
Last updated
07/28/2021
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